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General NPI Number Information
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NPI Number | 1871271973
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Entity Type | Individual
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Provider Name | NIKOLE ANN ROBINSON LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 615 1ST AVE NE STE 505
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City | MINNEAPOLIS
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State | MN
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Zip | 55413-2447
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Country | US
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Telephone | 612-202-4958
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Fax | 612-677-3123
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Provider Business Mailing Address
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Address Line | 6625 LYNDALE AVE S STE 440
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City | RICHFIELD
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State | MN
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Zip | 55423-2380
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Country | US
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Telephone | 612-712-7200
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Fax | 612-677-3123
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4238
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License Number State | MN
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